50D2193796 CLIA NUMBER - ZOOM CARE WOODINVILLE

Laboratory Demographics

  • CLIA Code: 50D2193796
  • Facility Name: ZOOM CARE WOODINVILLE
  • Facility Address: 17705 140TH AVE NE
    WOODINVILLE, WA
    ZIP 98072
  • Facility Phone: 864 664-3984
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MARK DIEGEL
  • NPI Number: 1881082097
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 50D2193796
LAB Type Community Clinic
Facility Name ZOOM CARE WOODINVILLE
Street 17705 140TH AVE NE
City WOODINVILLE
State WA
ZIP 98072
Phone 864 664-3984
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2020
Certificate Expiration Date 4/4/2028
Facility Type Community Clinic
Lab Director MARK DIEGEL

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This page was last updated on: 6/4/2025